Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $46.63 / $76.66	Facility		$24.81	$46.63	$76.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $46.77 / $90.00	Professional		$27.15	$46.77	$90.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $42.71 / $67.55	Professional	25	$42.71	$42.71	$67.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $89.39 / $112.62	Professional		$50.00	$89.39	$112.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $49.77 / $90.81	Professional		$36.09	$49.77	$90.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $50.48 / $76.93	Facility		$35.04	$50.48	$76.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.82 / $91.36	Professional		$57.67	$57.82	$91.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $52.26 / $93.73	Professional		$32.93	$52.26	$93.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $62.50 / $133.65	Professional		$48.08	$62.50	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $51.88 / $108.15	Professional		$35.85	$51.88	$108.15